MATTHEW C OTTE (NPI# 1134475684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134475684 |
Entity Type | Individual |
Full Name | MATTHEW C OTTE |
Credential | PHARMD |
Practice Address |
3231 S National Ave Springfield MO 65807-7304 |
Practice Telephone | 4178410116 |
Practice Fax Number | 4178885609 |
Mailing Telephone | 4178410116 |
Mailing Fax Number | 4178885609 |
Enumeration Date | 2012-08-01 |
Last Update Date | 2012-08-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 200702331 | MO | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 44-0552485 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336201185 | Matthew L Otte | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2006-12-15 |
Street Address |
3231 S NATIONAL AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-7304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811999386 | Geoffery Lynn Stanczyk | Obstetrics & Gynecology | 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 | 2005-08-12 |
1659819274 | Melanie Marsh | Nurse Practitioner | 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 | 2017-02-02 |
1336521798 | Wendy L. Robinson | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2015-06-22 |
1134501695 | Carla K. Athen | Nurse Practitioner | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2015-06-22 |
1306241518 | Dawn L. Webb | Registered Nurse | 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 | 2014-10-30 |
1417397472 | Kanya L Ahuja | Pediatrics | 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 | 2013-07-04 |
1386986545 | Bennett Adam Bolyard | Internal Medicine | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2013-03-25 |
1962741918 | Vanessa L. Montileone | Registered Nurse | 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 | 2013-02-12 |
1801133343 | Stephanie Kirsten Voorhis | Nurse Practitioner | 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 | 2013-01-03 |
1679824395 | Ashley N. Duey | Nurse Practitioner | 3231 S National Ave, Springfield, MO 65807-7304 | 2012-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
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1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.